Johnson, Mark P
Johnson, Mark P is an individual health care provider with primary practice located at 34Th & Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Johnson, Mark P can be contacted via phone (215) 590-2730.Contact Information
Primary practice address
34Th & Civic Center Blvd Children'S Hospital Of Philadelphia
Philadelphia PA 19104
Phone: (215) 590-2730
Fax: (215) 590-4875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD066375L | Pennsylvania |
Profile Details
NPI number | 1407937576 |
---|---|
LBN Legal business name | Johnson, Mark P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Apr 11th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407937576 | NPPES |
Pennsylvania | MEDICAID | 00171137 |
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